Primary & Community Health Services

Providing sustainable and integrated care.

Theme Lead: Professor Harm Van Marwijk (Brighton and Sussex Medical School)

Primary & Community Health Services Motif
Primary & Community Health Services Showcase


The PCHS theme encourages the users and providers of primary and community health care services to work together with us from the ground up to implement and evaluate new services, that fit local needs, encourage holistic person-centred care, promote health, involve the use of community assets to foster enablement, build resilience, and improve wellbeing. 

PCHS sub-themes

  • Sustainable care for seldom heard groups– reducing health inequality. Our particular focus is on people living with multimorbidity/frailty/receiving homecare, caregivers, young people, asylum seekers/migrants/travellers, and black and ethnic minority groups. 
  • Service redesign and the provision of integrated care across settings to support people to live well with chronic conditions notably mental ill health, chronic pain, cancer, Long COVID, and medically unexplained conditions (using existing tools such as 
  • Promoting and evaluating new models of ‘Left Shifting Care’, which utilise other professionals embedded in the primary and community health care system e.g., social prescribers, link workers, and peer support and existing tools. 




Meet the Team

Image of Professor Harm Van Marwijk

Professor Harm Van Marwijk

Primary and Community Health Services Theme Lead

Image of Dr Sam Fraser

Dr Sam Fraser

Implementation Manager, Primary and Community Health Services

Image of Dr Nina Lockwood

Dr Nina Lockwood

Research Fellow Primary and Community Health Services


Migrant Mental Health

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Dr. Leanne Bogen-Johnston, Post Doc within ARC KSS Starting Well Theme and Sarah Newman, a student from the University of Sussex, have undertaken a mapping exercise of emotional wellbeing and mental health services for unaccompanied asylum-seeking children (UASC) across Kent, Surrey and Sussex. The report provides a high-level overview of key demographics and highlights the support services available in Surrey, Kent and Medway, Brighton and Hove, West and East Sussex. This report should be used to help support and inform implementation and future research.

Unaccompanied Asylum Seeking Children Mapping Report 2022

Migrant Mental Health Community of Experience Summary

International Journal for Equity in Health: Published September 2023: Barriers and facilitators to seeking and accessing mental health support in primary care and the community among female migrants in Europe: a "feminisms" systematic review.


Primary and Community Health Services Community Priority Setting with Public Members in Kent, Surrey, and Sussex

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Applied Research Collaboration Kent, Surrey and Sussex (ARC KSS) conducted a Community Priority Setting exercise to capture the views of members of the public on the areas of need within primary and community health services working with Public Advisors as collaborators.

Captured in the Community Priority Setting report, ARC KSS intends to use these insights to guide future research, to strengthen funding bids, and encourage further collaboration to improve primary and community health services.

For more information please contact This email address is being protected from spambots. You need JavaScript enabled to view it..

Long-Term Conditions

  • Implementing the Eating and Drinking Ability Classification System (EDACS) across health and social care settings for adults with cerebral palsy to improve share decision-making and eating and drinking outcome

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  • Receiving a life-altering diagnosis: How do individuals make sense of their chronic, incurable pain?

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  • Using upper extremity movement analysis to inform the treatment of shoulder pain

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  • Healthy Hearts Sussex (HHS)/ Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa: An implementation research – Sussex site (SPICES)

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    Healthy Hearts Sussex Infographic

  • Building research capacity for health promotion interventions to support the management of MLTC-M

    ARC KSS post-doctoral researcher for the Primary and Community Health Services theme, Dr Deborah Ikhile, was recently awarded the NIHR Short Placement Award for Research Collaboration (SPARC) to undertake a project on Building research capacity for health promotion interventions to support the management of MLTC-M.

    Deborah’s SPARC project addresses a CORE20PLUS5 issue as it focuses on how health promotion interventions can be implemented to tackle health inequalities in MLTC-M in Black Africans. It stems from Deborah’s previous MA and PhD research on health inequalities and breast cancer detection in Black African women. She was recently interviewed by, an Audio Journal of Oncology. Her interview was part of the global cancer inequalities series, and she spoke about the significance of a health promotion approach to address the inequalities faced by Black African women in accessing breast cancer detection services. The podcast interview is available here.

    The SPARC award will support Deborah to gain practical skills in health promotion interventions and forge new cross-ARC collaborations with academic and non-academic partners from the ARC North Thames under the supervision of Professor Angela Harden, Academy Lead of the ARC North Thames.

  • Adaption of resilience-oriented interventions for young people with long-term conditions, primarily type 1 diabetes, drawing on a co-production approach.

  • How we can use GP practice data to identify functional and quality of life outcomes (bowel/bladder/sexual function) in men with prostate cancer after their first curative treatment, and how this might differ in marginalised or underserved groups

  • The H3 (home-hospital-home) study – a non-randomised feasibility intervention study investigating a digitally enabled colorectal cancer peri-operative pathway

  • COPD


  • Kent, Surrey and Sussex (KSS) Living Well with HIV: Coproducing pathways for integrating HIV and mental health services in Kent, Surrey, and Sussex

Mental Health and Learning Disability

  • Co-designing and testing an Asset-based TAsk-sharing modeL for Youth mental health Services in deprived communiTies (CATALYST)

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  • Increasing access to psychological interventions for perinatal obsessive-compulsive symptoms

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    Click here for the Systematic Review

  • Co-producing stigma-proof mental health interventions with and for newcomers (asylum seekers, refugees and migrants) in Southeast England

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  • Parents’ and practitioners' experiences and perceptions about Early Intervention (EI) for children, aged 0 to 6, within the health and welfare sector

  • Virtual consultations for people with learning disabilities, their families and healthcare providers: A co-design study to aid implementation in everyday practice

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Frailty, Multimorbidity, and EoLC

New models of Care/ Workforce

  • Social Prescribing during and after COVID-19: Mapping changes, impact and opportunities for working with older adults

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  • GP Mental Health Fellowship Scheme Evaluation

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  • Building a sustainable health community in East Surrey: Understanding the impact and implementation of Growing Health Together (GHT)

    Case Study: Growing Health Together 

  • Improving collaborative inter-agency systems and practice in self-neglect: identifying barriers and coproducing solutions

Methods, Assessment Tools and Digital Innovations

  • Primary and Community Health Services Priority Setting Exercise: Focus on Communities

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    Priority Setting Infographic

  • Developing an inclusive approach to multidimensional assessment of mental health symptoms in people in UK primary care (4DSQ)

  • Implementation of a risk prediction tool (RPT) to reduce medication-related harm (MRH) in older people post hospital discharge (PRIME 3)

  • Developing a social prescribing reporting template to improve evaluation and replication (SPoRTIER)

  • The Hospital-to-Home (H2H) Study – using smartwatch technology to support people following a hip fracture

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  • The H2H Study: Hospital-to-Home digitally enabled exercise pathways to improve older adult’s post-operative outcomes during the COVID-19 pandemic

  • The pilot implementation of the interRAI Self-Report of Carer Needs in Kent, Surrey and Sussex (interRAI SCaN KSS)

Communities of Experience

  • Migrant Community of Experience

  • Social Prescribing Community of Experience

Recite Me Accessibility Tools